NPIMap

Individual provider Active NPI

Rick David Teetz, MD

  • Family Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1396733408
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202502 Issued in NY
Practice address
131 Lawrence St
Wesley Health Care Center Inc.
Saratoga Springs, NY 12866-1346
Phone
(518) 587-3600
Fax
(518) 581-8266
NPI assigned
Oct 12, 2005
Last updated
Jun 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 202502 NY Primary

Addresses

Primary practice location

131 Lawrence St
Wesley Health Care Center Inc.
Saratoga Springs, NY 12866-1346

Mailing address

PO Box 304
Glens Falls, NY 12801-0304
Phone (518) 587-3600

Other identifiers 2

IdentifierTypeStateIssuer
01862115MedicaidNY
P00226004OtherNYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000402 NY Practitioner - Family Practice 3274569215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

131 Lawrence St
Saratoga Springs, NY 12866-1346
Phone (518) 587-3600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
202502NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Sep 1, 2016 Accepting new patients
Saratoga Hospital Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
Wesley Health Care Center, Inc. Past Accepting new patients

Locations

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

131 Lawrence St
Saratoga Springs, NY 12866
Phone (518) 587-3600

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1396733408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-587-3600",
            "fax_number": "518-581-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 LAWRENCE ST",
            "address_2": "WESLEY HEALTH CARE CENTER INC.",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661346",
            "telephone_number": "518-587-3600",
            "fax_number": "518-581-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETZ",
        "first_name": "RICK",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01862115",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00226004",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.